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Home My WebLink AboutPermit Building 1988-05-24INE C ITY COHBI NATI ON lx9iSFlB'*,,OF APPL I 725- Job Address re Legal Description Ran EIIERGY SOURCES l,later Heater . Ftg. Access l,lew Add A -f ence O-enro -0ther- Sq Sq iai_neF-Sq. Ftg. 0ther _Change/Use Ftg.tn aOValue of tlork: 0wner a()e., Bui ng e N'i th n c raPhoneAddres s = h il 0 \ \ N z_t -PhoneACdrr€€c Structura'l a14El ectri ca I Mechan i catr t''lec h a El ectr MECHAN I CALELECTRI CALPLIJIIIBII{6 THAPGFFFFFFFCHARGFNOFFFCHARGFNO furnace/burner to BTU' s Residence of FTSQEach single f.,:-xture /,* Floor furnace and ventc/J'{ew ci rcui ts al ts. or extensions -2..8,{,Aza,r7 Rel ocated bu.i!dtnE (new fix- adlditiomaX) Recessed wal I Snace heater and ventSERV I CESS.F. flesidhnce ( l bath) Duplex (l batlhr) each Apol iance vent sepa rateTemporary Constructi onAdditional bath Stationary evap. cool erCha res nge in existing i dencellater service Vent fan with sinole duct multifamily, comn. or I ndu stri a ISewer Vent systern apart from heatino or A.C.0f amps.Storm Sewer Mechanical exhaust hood and ductc0Mr.t./IND. FEEDERS l.lood stove/heaterInstaI I /a l terlre l ocatedistrib. feeders 0f S tssuANcF 0F pFRr{IT TOTAL CHARGESTOTAL CHARGES €> TOTAL CHARGES WHERE STATE 'Ll!l REQUIRES that the Electrical work be done by an E1 shall not be vatriC until the label has been signed by an Electrical Su l,lAtlE(please print)o 2IGNA ectricai Contractor, the electrical portion of this permit rpervisor and returned to the Building Division Ci ty made any of the pe nd effe exempt r55 wi l 1herertcef1thatI1n1tiformaonhereon s truedodantconatNEXAMItheEDb.y vappcomp rmed Iha I be 'Idone an WIccordance tth 0rdihe ncna ofes t heI'I krhatt saworandIandfurthecert1ndacorrect,fy rtrd ff n'I 1 theto descriwork herebed I an td tha OCCUNO YPANC '|wl I be'I fie theand oLaws the Sta teo rtaSprngoe0regon ng f of'I On i IBu d ,l VI 'I 0nrml I furt r 'Irt th at s ra It v/lon +th Buhe I'I r sdeo'tltstructure ttm'ut s he I Di ss he ceng fy my regiany rdBoa 1 t[I f,lr a tha 'I facts'I 0Rs 7 05 5 ba Is fors t onI s'I noted ha tandtthes11force+red 0req u by exemp ec tnlsuaodbcontractors1whon'I 1 I nc twl h 00l?s 7ot I usedbeaevempoyeescomD Flood Plain Stories 0cc.y Group Sq. Ftg. 0ther_____x Val TOTAL VALUATION xLoad Ftg l4ain Iits Ftg. Access Val ueFire Zone Bedroons Zone Tyoe/Cons Plan Ck. Cornm/lnd 65%/B1do Per Fee opmentBUILDING PERI.IIT Charges and Surcharges <*2-1 z5 Plan Ck. Res 30%/81do Per Fee FencePLUI4BING PERMIT Charges and Surcha rges Demo Sidewal k A/C Paving Tota'l Comb. Permit ELECTRICAL PERIlIT Charges and Surcharges ca(r Curb Cut t-/- &/ 1- I1ECHANICAL PERMIT Charges and Surc ha rges TOTAL 13 hereon, onare COMEINATION APPLICATION/PERMIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Descriptionl. gIgIElg.: Tax Lot 100, Lane County Map Reference17 03 43?. example- Lot l. Block 3, Znd Addition toSpringfield Estatesq. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION 1. 2.E' sql. 2. example- heat/electrical cei I inq/o examp I e- wa terheiTeTeTEtTil calToruare footage or valuation,-eTc. example- 1250 sq. foot house, 500 example- if new project, check-iEw check add, etc. r forced air gas l.l*- sq. foot garage - if addition, II. F. Bui lding permit information:1. example - construct single family house with anattached garage ?. examp_le - remodei existing garage into family roomJ. exampte - convert singie family residence .into - restaurant (change of use)G. Value of work as def.ined in Section 303 (a) of theStructural Specialty CodeH. DESIGN TEAM AND CONTRACTORS To avoid design or construction delays, Bu.ilding0ivision Staff must be able to contact appropriitepersons.regard'ing design .information or job sitecorrections, etc. Abbreviated Plumbing, Mechanicaj, & Electrical SchedulesA. Lxcept where blank spaces occur in the descriptionportion of the Mechanical and Electrical Schedules,the applicant need fi'll-in only the No. Boxes adjaient - to the appropriate item(s) to be installedB. Full Piumbing, Mechanical, and Electrical Schedulesare available at the Buiiding Division1. To conserve space on the permit form the scheduleshave been abbreviated2. If the item(s) to be installed are not covered onthe abbreviated schedules you should consult thefu'l I schedul esC. BUILDING DIVISION STAFF I,IILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to theelectrical contractor for signature by his electricai - supervisor. The general contractor .ii not authorizedto sign the eiectrical labelApplicant to sign and date l,lhenever possibie, the initial application will be used asa.worksheet only. Where possible, Building Division Staifwill prepare a type written copy and returi it to theapplicant at the time the actual permit is issued for his s i gna ture. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. All other fees and charges are due andpayable when the permit is issued. FOR OFFICE USE ONLY III. IV v Permit Clerk PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEWED BY: name si g nature date' <'*2/a8 COHBI ilATI ON APPLICATION/ PER}''III Job Address Z>re Legal 0escription Ranqe I'later Heater EIIERGY SOURCES: Hea t- . Ftq. l.lain_ Sq. Ftg. Access._ Sq. Ftq. Other_ _l{ewadd_Al ter_Rep. _Fence_Oemo Change/Use 0ther Owner ().a Val ue of Llork aO/.Sa>. Bui Fam tI Desc l.lorknPe .e.r Build SingleAddress /rgs )</ a (vta). -bR./f .a r/()> --1 fc*.. )fuvz/€87?28 ?z /> c+m.tEi;on trn,r-./'r8,7/a:,.? 6F)J4.. ACt!.e{s Phone /fr zt. h m 0 -(. \ N DESIGN T€A'I rddress exoi res ohone no- Structural El ec tri ca I Hechani caI ACTORS R,iUNE a ddres s exoi res )nhonp nn Plumbinq hani i PtutrtBltic ELECTR I CAL MECHAN I CAL FFF CHARCE NN FFF CHARGF NO FFF CHARGF Each single f,ixture Residence of FTSQ furnace/burner to BTU' s Relocated buildinE (new fix. additiual!,/-llew circuits alts. or extqnsilns :-l*-/ Z.-zt',t7 /r* Floor furnace and vent S. F. Pes'idence(l bath)SERV I CES Recessed wal I Soace heater and vent Duplex (l bath) each Additional bath Temporary Construct i on Apol iance vent seoa rate I.later serv,ice ge in existing dencc Chan res I Stationary evap. cool er Sewer multifamily, conm. or Indrrstrial Vent fan with sinole duct Storm Sewer 0f s.Vent systern apart from heatinq or A.C. coMr'r./IND. FEEDERS Mechanical exhaust hood and du.t Instal I /al ter/re1 ocatedistrib- feeders l'Jood stove/heater 0f amps. ISSUANCE OF PFRIIIT TOTAL CHARGES TOTAL CHARGES €>TOTAL CHARGES HHERE STATE L4{ REQUIRES that the Electrical workshall not be vall-i until the label has been signed by be done by an Electri an Electrical Contractor, the electrical portion of this permit ca1 Supervisor and returned to the Building Division /-;1- -)l{AllE(please print o 2I GNATURE Ci ty made ' 0recon the Bui e ted tca onthe rcomp t doand cert rmato 0n nhereo sapr)Derm l ttha a truehereb-y fy nda co arnd furtherrrect,certi t tha nd a wo rkfyany oerfo sharmed donebe n corda ncac e wl ht the rd nances f theofandtheofLawsSSpringfi eld the teta fo rta to wothe desrk crlI bed rethe n thaand NOt CYOCCUPAN wloe beofsllItructurettiro'u the permr ss of0n di VIDi s on fu rthe r cert hat t +s tra 0n thv,l Buthefymyreq der sBoa any rd ti5 fu force effeand act s red 0Rs ng 701 055requby ttha f t bathe a ndsten0hereondexempssforon tha texemptonSUbcon'tractots and awhovempoyees re n ncea thWI ORScomD 7n1 055 un be onused ect E Flood Plain Stories 0ccy Group Sq. Ftg. x x lue Load Sq. 0ther x Va I its TOTAL VALUATION Value Tone Fire Zo Bedroorns Const. Un Ftg. Access. Ftq. t'lai Plan Ck. Conrn/Ind 65%/8ldq Per Fee Svs cha tems 0everqe (1.57 opmentBUILDING PERI'IIT Charges and Surcha rges -7s <*2 Plan Ck. Res 30%/81dq Per Fee FencePLUT,IBING PERMIT Charges and Surcha rges Dgmo Sldewal kELECTRICAL PERIIIT Charges and Surcha rges c-c A/C Paving Tota'l Comb. Permit Curb CutI{ECHANICAL PERHIT Charges and Surc harges TOTAL U-: --^1<- Pri ma ry FO!? NFF I CITY OF SPRINGFIELD CltY HallV- Sprlngfrcld' orcgon Ollice ol Community and Economic Developmenl oFFrclAL REcErPr L i- ;!'I GCOMB I NATION APPLI CATION/PERMI T I. Applicant to furnishA. Job AddressB. Legal Description ? (cAP) glaTpl!: Tax Lot 100, Lane County Map Reference ( 17 03 43 qrqmple- Lot l. Block 3, 2nd Addition toSffiffiieid Estates t. - ( 2 AF From Address /9*S ,4 ;, 1. 2.L. Squa 1. 2. examp I e- hea t/e l gstr i cJ_1_Sgll_11g./or fgrced a i r r exarrloTe- wa terhEfTEFTEJEETFitilTor sqlEi-re footage or vaiuationlGlEl- C. Name, etc. of owner and construction lenderD. Energy Sources F Bui Iding perm l. example - a ttac hed example- 1250 sq. foot house, 500 sq. foot garar example- if new project, check new - if additior check add, etc.ts?, ( ( ( ( ( ( Received For: 2,'--,_ rit information: construct single family house with an gara ge t52o /,2t q?>2. example - remodel existing garage into family rc3. example - convert single family residence into restaurant (change of use)G. Value of work as defined in Section 303 (a) of theStructural Specialty CodeH. OESIGN TEAI,I AND CONTRACTORS To avoid design or construction delays, Building Division Staff must be able to contact appropriate persons regarding design information or job site corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrical SchedulesA. Except where blank spaces occulin the descriptionportion of the Mechanical and Electrical Schedules, the applicant need fill-in oniy the No. Boxes adjacerto the appropriate item(s) to be installedB. FulI Plumbing, Mechanical, and Electrical Schedules are available at the Building Division1. To conserve space on the permit form the schedulr have been abbreviated2. If the item(s) to be installed are not covered or the abbreviated schedules you should consult thefulI schedulesC. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULESD. As noted on the CAP, the label must be delivered to trreelectrical contractor for signature by his electricalsupervisor. The general contractor is not authorizedto sign the electrical label Applicant to sign and date }Jhenever possible, the initial application wilI be used asa worksheet on1y. l.lhere possible, Bui lding Division Staffwill prepare a type written copy and return'it to theapplicant at the time the actual permit is issued for his s i gnature. Fees and Charges Plan check fees are due and payable at the time of theapplication, and no plans will be processed until thesefees are paid. Al l other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY s-2 2_ Amounl Received Permit Clerk d'e, TURE fuEr ausrruEss FoBMs. lNc 1503)u2 8r'9 )- III. IV. PROJECT CONDITiONS TO BE SATISFIED BEFORE OCCUPAIICY: Permit applicant exempt from registration with the Builder's Board because: Additional Project Information : PLANS REVIEI,JED BY: date 5-? 7@names'l gnature l. ( I ( OCCUPANCY NAME Cf^,^--h C l<8S A) .RE DEPARTMENT !NSPECTION PRINGFIELD ADDRESS 15392 PERSON CO s%y'z foo UFC SECTION VIOLATION REMARKS ALRCA c € o,a.)k (rtLD-tA L, cE>:+ra ulL rtt;r +€R\ lwl 85106 85. 1 04 85108 85. 1 04 85.'107 A. ELECTRICAL - 1. Discontinue use of extension cords rn lieu of permanent winng. - 2 Each outlet box shall have a cover faceplate or fixture canopy. - 3 Maintain 30" clearance in ,ront ol electrical panel. - 4 Maintain wiring in good condition and protect from damage. - 5 Discontinue use of non-approved multi-plug adapters. B. EXITS - 1. Remove unapproved locks or latches from exit doors. - 2 Unlock all exit doors during business hours. - 3 Remove obstructions ,rom exits, aisles, corridors, and stairways. - 4 Remove obstructlons trom smoke doors and maintain to operate properly._ 5 Repair or mainlain exit door and hardware to operate properly. C. EXIT LIGHTING - '1. Maintain lighting for exit signs._ 2 Provide lighting lor corridors. stairways, and exterior exitways._ 3 Exits shall be illuminated at ail times the bulding is occupied. D. FIFE EXTINGUISHERS_ 1. Provide _ extingulsher(s) of a minimum rating._ 2 Mount extinguisher where readily availabte, with top nol higher than 5 leet_ 3 Post signs indicating location where extinguishers are not readily visible. - 4 Service and tag each extinguisher annually and after use. E. FIRE PROTECTION AND ALARM SYSTEMS - l. Maintain access to and operation o, standpipes, ,ire hose, sprinkler valves, and fire hydrant(s)._ 2 lnspect and test sprinkler system and maintain records._ 3 ldentify sprinkler valves and standpipes and secure in open position._ 4 Provide spare sprinkters (6 minimum) and sprinkler wrench. - 5 lnspect and service hood and duct extinguishing system over cookrng equipment._ 6 Replace damaged, corroded, or painted sprinkler heads. -. Z Provide and maintain smoke detectors in proper operating condition._ 8 lnspect and maintain fire alarm system and maintain recoids. F. FIRE SEPARATIONS_ 1. Remove obslructions from lire doors and mainlain to operate properly. - 2 Seal unapproved openings with approved materiat._ 3 Keep attic access and scutile openings closed. G. FLAMMABLE LIOUIDS - 1. Storageinexcessof 10gal.Classl, ll,orlll-Aliquidsusedformalntenanceandoperationofequipment 1. shall be stored in approved storage cabinets. - 2 Limit storage and dispray oJ crass r, il, or il-A riquids to arowabre quantities. - 3 Remove liquids not stored In approved containers. - 4 Remove frammabre riquids not used ror maint. in assembry brdgs., offices, apts., or moters._ 5 Discontinue use of Ctass I tiquids (gasoline, etc) lor cleaning._ 6 Store liquids away from corridors, aisles, stairways, and exiiareas. - T Discontinue dispensing lrom containers exceeding 5 gal. or provide pump taking suction from top. H. HOUSEKEEPING - 1. Remove or store rubbish, waste materiar, oiry rags in crosed mdtar containers._ 2 Clean grease filters and hood duct system over iooking appliance. - 3 Provide approved waste containers for combustible wasle. I. STORAGE_ '1. Remove storage from exits, aisles, corfldors, and under stairways. - 2 Atrange storage in orderry manner and provide for exiting and iire department access. - 3 Remove storage to 18" berow rever or sprinkrer (36,, for Jtorage pireo over u i*1'nignt_ 4 Reduce storage height to at least two leet below ceiling. - 5 Boirer' mechanicar. and erectricar paner rooms shail noi be used for storage. J. MISCELLANEOUS - 1. Post and enforce No Smoking signs. - 2 Provide address in such a position as to be visible and legible from the street tronting property. - 3 Remove obstructions and provide access in flre lanes._ 4 Secure all compressed gas cylinders in upright position with name ol product. K. OTHER 1 2. 1 04(b) 1 2. 1 04(b) 1 2. 103(a) 1 2. 105(f) 12.'t04 121 14(cl 12.1 13(a) 1 2.1 1 3(a) 1 0 301 (a) 1O301(a) 1 0.301 (a) 10.301(a) 1O302(a) 1 0.302(a) 1O302(a) 1 O 302(a) 10.31 5(e) 1 0.302(a) App V-B I O 307(c) 10.402 1 0.401 11.406 79.201(e) 79.201 79. 1 04(a) 79.201 79.'t 10 79.201 (d) 79.802 11.201(b) 1 0 315(f) 1 1.201 (b) 1 2 103(e) 1 1 203(b) 1 O 308(d) 1 1.203(b) 1 1.203(c) 13 1 0.1 10208 -t0.207 74.107 * YOU ARE HEREBY NOTIFIED TO CORRECT THE ABOVE VIOLATIONS BY VIOLATIONS: Noted_ Sig Abated -REFERRED TO FIRE PREVENTION BUREAU FOR LEGAL ACTION TNSPECTOR(S)I co.oArE +l&|tr\ FD.46 A C/e(aa{( af @5/z OZ.V*zprc fu:anaQrd< 5t) ?ry") SPRINGFIELD FIRE DEPARTMENL 4s=orJodu'u' I NSPECT iON REFERRAL FORM I0: Eiectrical Inspector Plumbing Inspector Buj I ding Inspector Mechanical Inspector Envi ronmental InsPector \C,'-1--- ,L- Date of Referral '1^ 15-88 Insp ection Number 0ccupancy 01rr^tc/, Address 15,B5 5 -/r4 EXPLANATION OF REFERRAL -J e-L 'J-e-d, ACTI0N TAKEN (Attach copy of orders) By Date Po{?fi+ 4 INSPECTOR DATE r. Job Number OTY OF S NGFIETD 7263753 BUITDING DMSION 346lvtAIN STREEI WE THIS HAVE INSPECTED ITIE ELECIRICAL WRING AND EQUIPMENT INSTALLED BY YOU AT THE PREMISES NA,VED HEREIN AND SUBMIT REPORT FOR ot^rNER oB IE}.IANT locATloN! JOB TO OF ?5 AJ EIWRIN9 AFPROVED FOR CO\|ER E APFROVED FOR SER/ICE E WRING INCOMPLETE E WlRltlG COVERED Wfffidrl li'tSPECIIOt'l ;3 Dltr'trr1 TI1ESE mEvt6'd BE1E LOCI(D Atl II'1SFECIION CO{rl'D htot BE MADE EI DUE TO NO OFIE FIO IE At.l lNs,PactoN cot tD NoT BE trtADE wlRING APPROYD FOR CO\IERhIG.EccPT ftE FOIIOW}'G tr A PER.MF IS REQU}RP E HEAT CAELE APPROVED FOR COVER E t NDERGtouhtD APPaovED FOR COVER E COi.lDttT sYSrEM APPROVED FOR COVR ..1 t \ tr t: